- Humana (Springfield, IL)
- …our caring community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business ... the Pricer Business and System Support team responsible for administering complex Medicaid provider reimbursement methodologies. The associate will support… more
- Humana (Springfield, IL)
- …part of our caring community and help us put health first** The Sr. Medicare (PPS) Provider Hospital Reimbursement Analyst will be an integral part of the ... of the team as it expands to accommodate the increased responsibilities. The Provider Hospital Reimbursement Analyst r will be primarily responsible… more
- Humana (Springfield, IL)
- …of our caring community and help us put health first** The Director, Provider Contracting initiates, negotiates, and executes physician, hospital , and/or other ... organization capabilities interrelate across the function or segment. The Director, Provider Contracting initiates, negotiates, and executes physician, hospital ,… more
- Humana (Springfield, IL)
- …The Provider Contracting Executive initiates, negotiates, and executes physician, hospital , and/or other provider contracts and agreements for an ... organization that provides health insurance. The Provider Contracting Executive works on problems of diverse scope and complexity ranging from moderate to… more
- Option Care Health (Bannockburn, IL)
- **Extraordinary Careers. Endless Possibilities.** **With the nation's largest home infusion provider , there is no limit to the growth of your career.** Option Care ... the largest independent home and alternate site infusion services provider in the United States. With over 8,000 team...and more impactful. Our organization requires extraordinary people to provide extraordinary care, so we are investing in a… more
- Huron Consulting Group (Chicago, IL)
- …systems, as well as with innovative payment models, negotiating complex payer reimbursement contracts for provider organizations, understanding reimbursement ... a healthcare organization's contractual relationships with payers and overall reimbursement level. + Communicate effectively to understand client challenges, create… more
- Centene Corporation (Springfield, IL)
- …HOSPITAL ON THE WEST SIDE OF CHICAGO TO SUPPORT MEDICARE AND MEDICAID ADMITTED MEMBERS WORKING WITH HOSPITAL STAFF TO FACILITATE DISCHARGE ... MONDAY - FRIDAY 8AM - 5PM WORKING FROM THE HOSPITAL BASED ON MEMBER CENSUS 3 - 4 DAYS...appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and… more
- Humana (Springfield, IL)
- …coding auditor to review inpatient hospital claims for proper reimbursement , handle provider disputes in a result-oriented and metrics-driven environment. ... Coding Auditor contributes to overall cost reduction, by increasing the accuracy of provider contract payments in our payer systems, and by ensuring correct claims… more
- Gentiva (Bloomington, IL)
- …hospice agency promptly if unable to complete F2F visits as scheduled. + May provide F2F coverage for multiple provider numbers with approval. **About You** ... physicians, interdisciplinary group (IDG) members, patients, caregivers, and families. + Provide clinical recommendations to the IDG based on F2F assessment… more
- Trinity Health (Maywood, IL)
- …Development + Tuition Reimbursement + On Site Fitness Center (Gottlieb Memorial Hospital & LUMC) + Certification reimbursement (up to 1 certification) + ... Loyola University Medical Center and is part of a three- hospital system including Loyola University Medical Center (https://www.loyolamedicine.org/location/lumc) ,… more
- Rush University Medical Center (Chicago, IL)
- …Description** Location: Chicago, Illinois Business Unit: Rush Medical Center Hospital : Rush University Medical Center Department: Specialty Drug Solutions **Work ... of Care Specialist serves as an expert consultant to hospital staff, and a clinical educator and advocate for...office equipment as necessary. * Advanced knowledge of Medicare, Medicaid and insurance benefits. * Normal office and clinical… more
- Abbott (Abbott Park, IL)
- …high employer contribution + Tuition reimbursement , the Freedom 2 Save ... all ADC brands and customer channels, including Managed Care, Medicaid , Medicare, Retail, and Point of Care (POC). The...Develop list and net pricing recommendations in Pharmacy, DME, Hospital , POC and other channels + Prepare and present… more
- Prime Healthcare (Joliet, IL)
- Overview Join our team of dedicated professionals who provide services and operational support to award winning hospitals through roles in supply chain, IT and ... engineering, capital procurement, medical coding, project management and more. We provide services to clinically excellent community hospitals across the country… more
- Little City Foundation (Inverness, IL)
- …process and monitor participant benefits, perform multiple HUD functions and provide backup to selected department functions. ESSENTIAL DUTIES AND RESPONSIBILITIES: ... LINK/SNAP card amounts. Apply for new LINK/SNAP cards where applicable. + Complete Medicaid , Medicare D, and other medical applications as needed. + Apply for Social… more
- Fresenius Medical Center (East Peoria, IL)
- …comprehensive benefits package, generous paid time off and holidays; tuition reimbursement potentially available **PURPOSE** **AND** **SCOPE:** Functions as part of ... blood flow (QB) and dialysate flow (QD). + Evaluate intradialytic problems and provide intervention as prescribed by physician order or as directed. + Monitor… more
- Humana (Springfield, IL)
- …for services rendered is complete, compliant and accurate to support optimal reimbursement . The Nurse Auditor 2 work assignments are varied and frequently require ... in the state they reside. + Minimum of 2 consecutive years acute inpatient hospital care experience in critical, intensive care setting within the last 5 years (Not… more
- Trinity Health (Maywood, IL)
- …to providing exceptional care to those we serve at Loyola Medicine. In return, we provide a supportive atmosphere where you can grow your career and make a lasting ... insurers, third party payors, and review entities such as EQ Health for Medicaid to relay clinical information and to certify inpatient care for payment. Records… more